青少年Ⅱ类骨性错[牙合]畸形矫形治疗后颞下颌关节变化的研究进展  

Progress of research on temporomandibular joint changes after orthopedic treatment on skeletal Class Ⅱ malocclusion in adolescents

作　　者：吴艳棋 朱敏[1] WU Yanqi;ZHU Min(Department of Oral and Craniofacial Surgery,Shanghai Ninth People Hospital,College of Stomatology,Shanghai JiaoTong Uniuersity of Medicine,National Center of Stomatology,National Clinical Research Center far Oral Diseases,Shanghai Key Laboratory of Stomatology,Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院口腔颅颌面科,上海交通大学口腔医学院国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海200011

出　　处：《口腔医学》2021年第11期1047-1051,共5页Stomatology

基　　金：国家口腔疾病临床医学研究中心临床科研项目(NCRCO201806);科技部重点专项课题(2018FY101001);上海市浦东新区卫健委项目(PW2018D-10)。

摘　　要：骨性Ⅱ类错[牙合]畸形在我国儿童和青少年人群患病率较高,主要表现为下颌后缩,影响功能和美观。功能矫形是临床治疗生长发育期骨性Ⅱ类错[牙合]畸形的重要手段,在改善咬合和外貌的同时,也可避免给青少年带来自卑的心理影响。本文通过影像学分析总结颞下颌关节解剖结构的变化,认为咬合关系的改善是由颞下颌关节的适应性改建引起的,功能矫形绝非导致颞下颌关节紊乱的风险因素。Skeletal Class Ⅱ malocclusion is common in children and adolescents in our country, mainly for the mandibular retrusion,which affects both function and appearance. Functional orthodontics is an important means of treating skeletal Class Ⅱ malocclusion at growth and development stages, improving the occlusal relationship and appearance, meanwhile avoiding inferiority complex among teenagers. This review summarized the anatomical structure changes of the temporomandibular joint through imaging analysis, believing that the improvement of occlusal relationship was due to the adaptive remodeling of the temporomandibular joint, and functional orthodontics was not a risk factor of temporomandibular joint disorders.

关 键 词：骨性Ⅱ类错[牙合]畸形 功能矫治器 颞下颌关节 锥形束CT 磁共振成像 

分 类 号：R783.5[医药卫生—口腔医学]